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Blood, 1 November 2005, Vol. 106, No. 9, pp. 2995-3003.
Prepublished online as a Blood First Edition Paper on July 19, 2005; DOI 10.1182/blood-2004-12-4906.
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Submitted December 23, 2004
Accepted July 5, 2005
Adoptive transfer of gene-engineered CD4+ helper T cells induces potent primary and secondary tumor rejection
Maria Moeller, Nicole M Haynes, Michael H Kershaw, Jacob T Jackson, Michele W Teng, Shayna E Street, Loretta Cerutti, Stephen M Jane, Joseph A Trapani, Mark J Smyth, and Phillip K Darcy*
Cancer Immunology Program, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia
Howard Hughes Medical Institute and Department of Microbiology and Immunology, University of California, San Francisco, CA, USA
Rotary Bone Marrow Research Laboratory, Royal Melbourne Hospital, Parkville, Victoria, Australia
* Corresponding author; email: phil.darcy{at}petermac.org.
Since CD4+ T cells play a key role in aiding cellular immune responses, we wanted to assess whether increasing numbers of gene-engineered antigen-restricted CD4+ T cells could enhance an anti-tumor response mediated by similarly gene-engineered CD8+ T cells. In this study, we have used retroviral transduction to generate erbB2-reactive mouse T cell populations composed of various proportions of CD4+ and CD8+ cells, and then determined the anti-tumor reactivity of these mixtures. Gene-modified T cells were shown to specifically secrete Tc1 and/or Tc2 cytokines, proliferate and lyse erbB2+ tumor targets following antigen ligation in vitro. In adoptive transfer experiments using immunodeficient scid mice we demonstrated that injection of equivalent numbers of antigen-specific engineered CD8+ and CD4+ T cells led to significant improvement in survival of mice bearing established lung metastases compared with transfer of unfractionated (largely CD8+) engineered T cells. Transferred CD4+ T cells had to be antigen-specific (not just activated) and secrete IFN- to potentiate the anti-tumor effect. Importantly, anti-tumor responses in these mice correlated with localisation and persistence of gene-engineered T cells at the tumor site. Strikingly, mice that survived primary tumor challenge could reject a subsequent rechallenge. Overall, this study has highlighted the therapeutic potential of using combined transfer of antigen-specific gene-modified CD8+ and CD4+ T cells to significantly enhance T cell adoptive transfer strategies for cancer therapy.

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